2 Personal details Title First name Middle name Surname Date of birth Estimated retirement age Nationality Permanent rights to reside in the UK Yes No Marital status Number of dependants Previous Names (Title, First name, Surname) Title First name Middle name Surname Date of birth Estimated retirement age Nationality Permanent rights to reside in the UK Yes No Marital status Number of dependants Previous Names (Title, First name, Surname) Home address If resident at current address for less than years then please enter a previous address/es Previous address/es - continue on a separate sheet if required Contact details (at least contact numbers) Home phone number Work phone number Mobile phone number Preferred contact method Home phone number Work phone number Mobile phone number Preferred contact method of 7

3 Employment details Employment status (please tick) Employed Self-employed Retired Student Unemployed Homemaker Perm. Disabled Director Partner Employment status (please tick) Employed Self-employed Retired Student Unemployed Homemaker Perm. Disabled Director Partner If employed (or Director) Employment type: Full time Part time Job title Start date Gross annual salary Employers name Employers telephone number Current employment address Employment type: Full time Part time Job title Start date Gross annual salary Employers name Employers telephone number Current employment address If you answered self employed or partner for the previous question, please complete this section. Company name Company type Limited company Partnership Sole trader Charity Business sector Start date Percentage ownership (%) If retired Gross annual pension income Gross annual pension income Other sources of income Does the applicant have any other income Yes No If yes Gross annual other income Other income source Does the applicant have any other income Yes No If yes Gross annual other income Other income source of 7

4 Assets and liabilities Please state for which applicant these are for, and if there are more please detail these on a separate sheet. Personal Dwellings Which applicant this relates to Value Balance of mortgage outstanding Monthly mortgage payment Is this mortgage to be retained Investment properties Which applicant this relates to Property type Value Outstanding Rent Monthly payment * If anymore investments please provide us with a full portfolio Credit cards / Store cards Which applicant this relates to Account number Card issuer Balance To be repaid HP loans / Unsecured Loans Which applicant this relates to Account number Lender Balance Monthly payment To be repaid Total for all Value Liability Net position Monthly payment Have you ever been made insolvent, bankrupt, made any voluntary arrangements with creditors or been involved in any court proceedings for debt? Yes No If you are or have been a director or officer of a company or other corporate body, which has been insolvent or entered into liquidation, whether compulsory or voluntary (save for the purpose of amalgamation or reconstruction of a solvent company), or had a receiver appointed of its undertakings or been involved in any court proceedings for debt? Yes No Loan purpose Purchase Refinance Capital raising Security details Full Property Security type Location England Scotland Wales Tenure Freehold Leasehold Heritable (former feuhold) Heritable subject to lease GDV Current value 4 of 7

5 Solicitors details Please provide full details of your acting solicitor below: Firm name Contact name Telephone number Full address DX number Solicitors Solicitors direct dial Accountants details (if required) Contact Name Company Telephone number Qualifications Full address Development project details Development costs Development Period Details type of project to be undertaken 5 of 7

6 Previous development experience Previous experience of this type of development Yes No Previous development experience Exit Strategy with any comparable evidence Intermediary Declaration I confirm that all relevant provisions including applicable requirements under the Financial Services & Markets Act 000 have been satisfied. I confirm that any third party who may have arranged, advised on or introduced this mortgage is authorised to advise / arrange / introduce the business or is exempt from authorisation. I am fully aware the quality checks will be carried out on the validity of the information contained in this application form. I confirm that I have discussed the mortgage payments with the applicant(s) and confirm that the applicant(s) can afford these payments. I confirm that I have discussed the plan for the repayment of any interest only element of the loan with the applicant(s). I confirm that i have disclosed the amount and the nature of any fees received or to be received by me in connection with the mortgage to the applicant(s). Signature of intermediary Date 6 of 7

7 Data Protection Statement Please Note: In accordance with standard lending policy; Aldermore Bank Plc will verify and credit check your application. This will involve the search of records held by credit reference and fraud prevention agencies. Such agencies not only provide credit and voters roll information, they can verify your identity and also record the details of searches including whether or not your application proceeds. Aldermore will check and record your details with fraud prevention agencies. If false or inaccurate information is provided and fraud is identified, details will be passed to fraud prevention agencies. Law enforcement agencies may access and use this information. We and other organisations may access and use from other countries the information recorded by fraud prevention agencies. We and other organisations may also access and use this information to prevent fraud and money laundering, for example, when checking details on applications for credit and credit related or other facilities, managing credit and credit related accounts or facilities, recovering debt, checking details on proposals and claims for all types of insurance, checking details of job applicants and employees. Aldermore will search for similar applications made by me/us to other lenders and, if fraud is suspected, other relevant details will be shared with those lenders. Should you have any queries relating to the use and storage of information or if you want to receive details of the relevant fraud prevention agencies we use please write to us at: The Compliance Department, Aldermore, st Floor, Block B, Western House, Lynch Wood, Peterborough PE 6FZ. Please note, you can (on request) receive a copy of all the information which we hold on file for you if you so wish; we may levy a small charge for this service. Intermediary: Please confirm that you are entitled to disclose information about all applicants and authorise us to search and record information about all of them? (please tick) Yes No Customer Name Permission Yes No Customer Name Permission Yes No Please indicate by circling yes that the applicant(s) consent(s) to disclosure by Aldermore Bank PLC of any confidential information (financial or otherwise) to any person(s) who may be asked to provide any security or guarantee(s) for the mortgage, or their legal advisors. The applicant(s) agree(s) to Aldermore Bank PLC discussing the progress of this application (and any associated matters) with and sending copies of any correspondence to our professional advisers. Yes No Residential Use Declaration I hereby declare that I do not neither does any member of my immediate family currently occupy or intend to occupy as a residential dwelling any property or properties in the UK (being buildings or land) which together comprise in the aggregate 40% or more of the property or properties (being buildings or land) over which Aldermore Bank PLC has secured or intends to secure a first legal charge. I further understand that immediate family for the purposes of this declaration means and includes any person being a spouse, civil partner, parent, brother, sister, child, grandparent or grandchild of mine or any other person whose relationship with me has the characteristics of a husband or wife. Yes No Where the above is not the case, please note that the application falls into the category of a Regulated Mortgage Contract, such mortgages can only be provided by firms that are regulated by the Financial Conduct Authority. Aldermore Bank PLC is authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority. We only offer our own mortgages. Transferability Aldermore Bank PLC reserves the right to transfer and / or assign any mortgage, standard security or legal charge, assignment, assignation or other ancillary deeds and / or documents securing its lending the subject of or resulting from this Commercial Mortgage Application to any third party which third party may or may not be a Bank, Building Society or other independent lender. By completing and signing this Commercial Mortgage Application you acknowledge this right reserved by Aldermore Bank PLC and consent to any such transfer or assignment. Property Valuation Statement We may record details of the property and the purchase price (if applicable) on a database which will be used by us and other organisations to value properties, as well as for administration, research and statistical purposes. Use of your personal information Information about all applicants will be collected and held on Aldermore Bank PLC systems and database and will be used to process your application and for ongoing account maintenance and administrative purposes. It will be held in accordance with the Data Protection Act 998 and we will only disclose it to other companies within our group, our lawyers, auditors, external advisors, agents and third parties as well as anyone to whom we transfer our rights and duties under your agreement with us, together with their lawyers, auditors and external advisors, agents and rating agencies. We will also disclose your personal information to third party service providers who we engage from time to time but we will always endeavour to ensure that they hold it in accordance with the Data Protection Act 998. We will also use the information you provide to us to contact you to update you on our products and services and those of third parties which we think may be of interest to you. By submitting your information to us you consent to us processing your personal information in this way and contacting you by telephone, post, fax, sms and/or . Please tick the relevant box (es) if you DO NOT wish to be contacted by us for this purpose. I DO NOT wish to be contacted by telephone, post, fax, sms and/or . Please note that you may withdraw your consent at any time by writing to The Compliance Department, Aldermore, st Floor, Block B, Western House, Lynch Wood, Peterborough PE 6FZ. I/We understand that it is important to Aldermore that personal information about me/us and my/our account is treated as private and confidential. Aldermore will hold and deal with my/our personal data in accordance with the Data Protection Act 998. Aldermore may use the information given in this application for credit assessment, including credit scoring, making enquiries and taking references relating to me/us as considered necessary. Declarations I/we, the undersigned, declare that the replies to the questions contained in this application form and any supplementary application form(s) are true and complete in every respect to the best of my/our knowledge and understand that Aldermore Bank PLC has relied on the replies and may form the basis of any contract between me/us and Aldermore Bank PLC (and its transferees and assignees). I/we have read and agree with the residential use declaration and the data protection and property valuation statement above. I/we agree, that Aldermore may use and share your information to prevent fraudulent activity. (If Company) signing for and on behalf of Limited Signature of main applicant Signature of second applicant Date Date Any property used as security, which may include your home, may be repossessed if you do not keep up repayments on your mortgage. Aldermore Bank PLC Aldermore Bank PLC is authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority. (Financial Services Register number: 0450). Registered Office: st Floor, Block B, Western House, Lynch Wood, Peterborough, PE 6FZ. Registered in England. Company No APF of 7

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